logo Tue, 24 Dec 2024 17:44:22 GMT

Public Health and Epidemiology at a Glance


Synopsis


First Prize in Public health in the 2017 BMA Medical Book Awards

Public Health and Epidemiology at a Glance is a highly visual introduction to the key concepts and major themes of population health. With comprehensive coverage of all the core topics covered at medical school, it helps students understand the determinants of health and their study, from personal lifestyle choices and behaviour, to environmental, social and economic factors.

This fully updated new edition features:
 More coverage of audit and quality improvement techniques
 Brand new sections on maternal and child health, and health of older people
 New chapters on social determinants of health and guideline development
 Expanded self-assessment material

This accessible guide is an invaluable resource for medical and healthcare students, junior doctors, and those preparing for a career in epidemiology and public health

Margaret Somerville, K. Kumaran, Rob Anderson

Summary

Chapter 1: Public Health Concepts

* Concept of public health: Focuses on protecting and promoting the health of populations rather than individuals.
* Core functions of public health: Monitoring health, investigating and controlling diseases, promoting healthy behaviors, and protecting the environment.
* Epidemiology: The study of disease distribution and patterns in populations.

Example: The Centers for Disease Control and Prevention (CDC) monitors the incidence of infectious diseases and implements control measures to prevent outbreaks.

Chapter 2: Epidemiology

* Measures of disease frequency: Incidence, prevalence, mortality rate, morbidity rate.
* Types of epidemiological studies: Observational (cohort, case-control) and experimental (clinical trials).
* Risk factors and confounders: Factors that increase or decrease the likelihood of disease, and factors that may distort the relationship between exposure and disease.

Example: A cohort study found that people who smoke are more likely to develop lung cancer, but this association could be confounded by other factors such as age, gender, and socioeconomic status.

Chapter 3: Infectious Diseases

* Transmission of infectious diseases: Direct contact, indirect contact (via contaminated surfaces or objects), airborne, vector-borne (via insects or animals).
* Principles of infectious disease control: Prevention (vaccines, handwashing), isolation and quarantine, antimicrobial treatment.
* Specific infectious diseases: Tuberculosis, measles, HIV/AIDS, influenza.

Example: Implementing universal vaccination has significantly reduced the incidence of measles in many countries.

Chapter 4: Noncommunicable Diseases

* Major noncommunicable diseases: Cardiovascular diseases, cancer, chronic respiratory diseases, diabetes.
* Risk factors: Smoking, unhealthy diet, physical inactivity, alcohol consumption, air pollution.
* Prevention and control strategies: Health promotion, lifestyle changes, screening and early detection, pharmacological interventions.

Example: Smoking cessation programs have been shown to reduce the incidence of cardiovascular diseases and lung cancer.

Chapter 5: Environmental Health

* Environmental hazards: Air pollution, water contamination, soil contamination, noise.
* Health effects of environmental hazards: Respiratory problems, cardiovascular diseases, cancer, developmental disorders.
* Environmental health interventions: Pollution control, waste management, water treatment, land use planning.

Example: Reducing air pollution through regulations and incentives has been linked to improvements in respiratory health in urban areas.

Chapter 6: Health Promotion

* Concept of health promotion: Empowering individuals and communities to improve their health and well-being.
* Strategies for health promotion: Health education, healthy public policies, social support, environmental changes.
* Specific health promotion topics: Physical activity, healthy eating, mental health, chronic disease management.

Example: Community-based walking programs have been shown to increase physical activity levels and reduce the risk of obesity.

Chapter 7: Health Services

* Types of health services: Primary care, secondary care, tertiary care.
* Principles of health service organization: Accessibility, affordability, quality, efficiency, equity.
* Challenges in health service provision: Rising healthcare costs, workforce shortages, health disparities.

Example: Telemedicine has improved access to healthcare in rural and underserved areas.